TRIDENT NEONATOLOGY SERVICES LLC (NPI# 1295724334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295724334 |
| Entity Type | Organization |
| Organization Name | TRIDENT NEONATOLOGY SERVICES LLC |
| Practice Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
| Practice Telephone | 8437974272 |
| Practice Fax Number | 8437974255 |
| Mailing Telephone | 8437974272 |
| Mailing Fax Number | 8437974255 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. ROBERT ENGLAND (VP) |
| Authorized Official Telephone | 8006613365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4028 | 05 |
| Street Address |
9330 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632638 | Thomas A Privett | Psychiatry & Neurology | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2005-07-11 |
| 1740896380 | Robert Palmer Wolfrom | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-09-18 |
| 1801415872 | Holly Robinson | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-10 |
| 1578192951 | Destine Hoover | Pharmacist | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-07 |
| 1134751829 | Julie Ivester Hayler | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-10 |
| 1659903078 | Elizabeth Mary Chouinard | Registered Nurse | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-05 |
| 1174018162 | Priscilla Hurt | Social Worker | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-22 |
| 1669965810 | Jacquelyn Suzette Ammons | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-12 |
| 1396249819 | Jennifer L Allmon | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2018-03-20 |
| 1609395458 | Mason Patrick Weisgarber | Physician Assistant | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366886715 | Katherine Elizabeth Chetta | Pediatrics | 10 Mcclennan Banks Drive Msc915, Charleston, SC 29425-3411 | 2013-04-28 |
| 1063605905 | William B. Pittard IIi | Pediatrics | 135 Rutledge Ave Rm 286, Charleston, SC 29425 | 2007-08-23 |
| 1598708232 | Catherine Partyka | Pediatrics | 9330 Medical Plaza Dr., Trident Medical Center, Charleston, SC 29406 | 2006-06-13 |
| 1649624826 | Raechel Elizabeth Irons | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-0296 | 2016-04-14 |
| 1346583960 | Stephanie Glenn Korff | Pediatrics | 165 Ashley Ave, Msc 917, Charleston, SC 29425-8905 | 2013-04-02 |
| 1184976524 | Sheridan Children's Healthcare Services of South Carolina, P.a. | Pediatrics | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2012-10-10 |
| 1659660496 | Heidi Jo Murphy | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2011-04-01 |
| 1275786188 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1184801664 | Alison Kristen Chapman | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-01-27 |
| 1881741692 | Julie Ross | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-01-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on TRIDENT NEONATOLOGY SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.